细胞病理学检查在原发性支气管肺癌诊断中的应用价值  

Diagnostic Value of Cytopathology in Primary Bronchial Lung Cancer

作　　者：冯其敏 任燕庭 赵国敏 Feng Qimin;Ren Yanting;Zhao Guomin(Department of Pathology,Zunyi Zheng'an County People's Hospital,Zunyi 563400,Guizhou Province,China)

机构地区：[1]遵义市正安县人民医院病理科,贵州遵义563400

出　　处：《中外医药研究》2024年第2期144-146,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析细胞病理学检查在原发性支气管肺癌诊断中的应用价值。方法:选取2021年2月-2023年3月遵义市正安县人民医院收治的原发性支气管肺癌患者65例为研究对象,均行支气管镜、肺穿刺、淋巴结活检及对应细胞学涂片检查。比较组织学检查与细胞学检查支气管镜、淋巴结穿刺以及肺穿刺的阳性率,统计组织学与细胞学的病理分型(小细胞癌、腺癌、鳞癌)符合率。结果:支气管镜细胞学检查阳性检出率为60.00%(39/65),肺穿刺细胞学检查阳性检出率为90.77%(59/60),淋巴结穿刺细胞学检查阳性检出率为100.00%(65/65)。细胞学支气管镜、肺穿刺以及淋巴结穿刺的诊断符合率分别为35.38%(23/65)、46.15%(30/65)、38.46%(25/65)。结论:在原发性支气管肺癌的临床诊断中,运用支气管镜、淋巴结穿刺以及肺穿刺获得的细胞学涂片阳性检出率较高,但是与病理组织分型的符合率不高,应根据实际情况,必要时采用联合检查方法,以提高检查准确率,为治疗和判断预后提供一定的参考依据。Objective:To analyze the diagnostic value of cytopathology in primary bronchial lung cancer.Methods:Sixty-five pa-tients with primary bronchial lung cancer admitted to Zunyi Zheng'an County People's Hospital from February 2021 to March 2023 were selected as the study objects.All of them underwent bronchoscopy,lung puncture,lymph node biopsy and correspond-ing cytological smear.The positive rates of bronchoscopy,lymph node puncture and lung puncture between histology and cytology were compared.The coincidence rate of histological and cytological pathological types(small cell carcinoma,adenocarcinoma,squamous cell carcinoma)was calculated.Results:The positive rate of bronchoscopy cytology was 60.00%(39/65),the positive rate of lung puncture cytology was 90.77%(59/60),and the positive rate of lymph node puncture cytology was 100.00%(65/65).The diagnostic coincidence rates of cytology bronchoscopy,lung puncture and lymph node puncture were 35.38%(23/65),46.15%(30/65)and 38.46%(25/65),respectively.Conclusion:In the clinical diagnosis of primary bronchogenic lung cancer,the positive detection rate of cytological smears obtained by bronchoscopy,lymph node puncture and lung puncture is high,but the coinci-dence rate with pathological tissue typing is not high.Combined examination method should be used according to the actual situa-tion,if necessary,to improve the accuracy of examination and provide certain reference for treatment and prognosis.

关 键 词：原发性支气管肺癌 组织学检查 细胞学涂片 

分 类 号：R734.2[医药卫生—肿瘤]